Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
May 4, 2020
License(s)
W1722 (TX), W1722 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6201 HARRY HINES BLVD | Dallas, TX 75235-5202 | 443-980-6465 |
| LOCATION | 5323 HARRY HINES BLVD # MC9159 | Dallas, TX 75390-7208 | 443-980-6465 |
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